5. ROLES OF A PHYSIOTHERAPIST 3 critical inquirer

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ROLES OF A PHYSIOTHERAPIST 3. As a Critical Inquirer :

ROLES OF A PHYSIOTHERAPIST 3. As a Critical Inquirer Dr. Tehreem Anis DIRS, DU

Critical Inquiry:

Critical inquiry is  the process of gathering and evaluating information, ideas, and assumptions from multiple perspectives to produce well-reasoned analysis and understanding, and leading to new ideas, applications and questions. Critical Inquiry

The History of Critical Inquiry:

Mary McMillan Helen Hislop (1975) Gary Soderberg and Robertson (1993) The History of Critical Inquiry

Evidence-based medicine:

Evidence-based medicine (EBM) or evidence-based practice (EBP) aims to apply the best available evidence gained from the scientific method to clinical decision making Evidence-based Medicine (EBM) is the process of systematically reviewing, appraising and using clinical research findings to aid the delivery of optimal clinical care to patients. Evidence-based medicine

Outcomes research:

Outcomes research  seeks to understand the end results of particular health care practices and interventions. The results of these studies often are used as a complement to evidence-based information Outcomes research

Whose responsibility is research?:

Physical therapy faculties – teaching, scholarship and scholarship Doctoral student Academic researchers functioning independently Whose responsibility is research?

Roles of the staff physical Therapist in critical inquiry:

A user of research A publisher of case reports A collaborator in clinical research projects An assessor of new ideas and technology A research participant (subject) Roles of the staff physical Therapist in critical inquiry

The Physical Therapist uses the research in 2 ways::

Evidence – Based Practice Approach: Using secondary information already screened for validity and relevance by ‘experts’ Traditional Method: Individuals independently critique articles and apply information to a clinical question The Physical Therapist uses the research in 2 ways:

Collaboration in clinical research:

Clinically meaningful research must be done with a team of others: Other clinicians Faculty members Medical doctors and nurses Collaboration in clinical research

Important factors and barriers to complete Clinical Research in Collaboration::

Facility or institutional resources Patient management issues Availability of Target patient population Support of other health professionals including local IRBs Research-related injuries or illness Ethical Considerations, i.e. placebo, controls, sham treatments Note: fewer than 1% of clinicians publish research Important factors and barriers to complete Clinical Research in Collaboration:

Ethical and legal issues in Critical Inquiry:

APTA Code of Ethics and Guide for Professional Conduct Maintain and promote high standards for physical therapy practice, education, and research. Participating in research shall abide by ethical standards governing protection of human subjects and dissemination of results Support research activities that contribute knowledge for improved patient care PTs to report unethical acts “in the conduct or presentation of research. Truthfulness Autonomy and consent Compliance with law and regulations Protection of Human Subjects Ethical and legal issues in Critical Inquiry

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